Organization Active NPI

Nostrand Ave Pharmacy Corp

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1487317400
Registry record updated Oct 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NOSTRAND AVE PHARMACY CORP
Practice address
1148 Nostrand Ave
Brooklyn, NY 11225-6129
Phone
(516) 240-2844
NPI assigned
Oct 17, 2021
Last updated
Oct 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Muhammad Imran
Title
President
Phone
(929) 578-3016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1148 Nostrand Ave
Brooklyn, NY 11225-6129

Mailing address

1148 Nostrand Ave
Brooklyn, NY 11225-6129
Phone (516) 240-2844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231115001413 NY Part B Supplier - Pharmacy 1456708361 Practice locations: Brooklyn, NY
O20231122002392 NY DME Supplier - Pharmacy 1456708361 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634428800000",
    "number": "1487317400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112256129",
            "telephone_number": "516-240-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112256129",
            "telephone_number": "516-240-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSTRAND AVE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A",
        "authorized_official_last_name": "IMRAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-578-3016"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.